Wine Lover? Some Oral Health Tips


Posted on Oct 29, 2015 by William J. Claiborne, DDS MS

If you’re a wine lover, you may not be surprised that the United States ranks as the leading consumer of wine. Wine has become a regular accompaniment to meals and is often present in many social gatherings. In the past decade, the once-dominant beverage in France has fallen in consumption by 17% while the States have seen a 20% increase.

Many consumers believe that wine is a healthy beverage. In moderation (like anything), drinking wine is said to offer health benefits – everything from helping to lower blood pressure and reducing the risk for health problems such as diabetes and stroke. When it comes to your smile, however, wine isn’t beneficial – at all.

Red wine is a known culprit when it comes to staining teeth. However, white wine has a tint and can discolor teeth as well.

Yet, a deeper problem exists for your smile when it comes to wine. Wine is highly acidic, much more than most people realize. When this acid mixes with the acids in the mouth that aid in digestion, the level of acid can erode tooth enamel. When this protective shell on teeth is compromised, your risk for cavities increases.

So, just how high can wine boost acidity in the mouth? Studies show that tooth enamel can soften in about ten minutes from drinking wine. For those who sip a glass of wine before dinner or several glasses over the course of an evening with friends, the damage that can occur is nothing to ignore.

To minimize damaging your pearly whites, alternate sips of wine with drinks of water. When drinking the water, let it wash over your teeth before you swallow to dilute acid levels. You should also conclude your wine consumption by swishing with water.  Also, eat cheese while you enjoy your wine. Cheese is high in alkalinity, which helps neutralize wine’s acidity. At home, consider using a prescription level fluoride toothpaste or mouth rinse for your oral hygiene. These products strengthen tooth enamel.

Do NOT brush your teeth after wine consumption! Because tooth enamel is already soft from high acid levels, brushing will actually cause damage due to the abrasiveness of tooth paste and toothbrush bristles. It is recommended that you wait 30 minutes before brushing to give acid levels in the mouth time to lower. Enamel, once worn away, is gone for good. This leaves teeth weak and vulnerable.

By taking simple steps to protect your teeth, you can greatly lower your risk for problems and save greatly in time and expense. The good news is that you can protect your oral health and still enjoy a good glass of wine!

Pregnant Women – Beware Oral Bacteria


Posted on Oct 20, 2015 by William J. Claiborne, DDS MS

I was watching a health segment on a morning news program recently. The topic of that day surrounded things that women should avoid during pregnancy, such as soft cheeses, smoking and alcohol. I am pleased that modern medicine has created more awareness when it comes to things that have the potential to be harmful to a developing fetus.

What was disappointing, as a Periodontist, is how the hazards of periodontal (gum) disease have not been given the same ‘red flag’ for its potential harm to unborn babies. Numerous studies have shown that women with gum disease may be at risk for pre-term babies or having a low-birth weight baby.

Babies born with a birth weight of less than 5.5 lbs. have a higher risk of long-term health problems. These include delayed motor skills, social development and learning disabilities. Additionally, a baby born at least 3 weeks earlier than its due date can have similar complications as well as respiratory problems, vision and hearing loss and digestive problems.

Periodontal disease is an inflammatory condition that stems from oral bacteria. The bacteria attack gum tissue and bone structure that supports teeth. Periodontal disease is the nation’s leading cause of adult tooth loss and is linked to other serious diseases, such as heart disease, stroke and diabetes.

According to the Center for Disease Control & Prevention (CDC), medical and dental communities agree that maintaining good periodontal health during pregnancy is important. If a woman who is pregnant or planning to become pregnant is not current on her dental examinations and cleanings, this should be a high priority.
This is also supported by the American College of Obstetricians and Gynecologists, who now encourage pregnant women to achieve and maintain good oral health. This includes regular dental care, including dental cleanings, during pregnancy. If signs of gum disease are present, non-surgical periodontal therapy is safe for pregnant women and can improve gum health.

Typical signs of periodontal disease include gums that are tender, red or swollen. Other symptoms include gums that bleed when brushing, gums that have pulled away from one or more teeth, frequent bad breath and loose teeth. These signs should create a sense of urgency for anyone who experiences them, however, these are especially important during pregnancy.

Through all phases of your pregnancy, it is necessary to maintain a thorough oral hygiene regimen. This includes twice-daily brushing, flossing, and regular dental check-ups. If you are behind on your dental visits, seeing a Periodontist can help to decrease the chance of adverse pregnancy complications. This will help to reduce your own risk for health problems as well as enjoy a safe pregnancy and a healthy baby.

You may want to learn more about gum health as it relates to pregnancy at the web site of the American Academy of Periodontology (AAP).

https://www.perio.org/consumer/AAP_EFP_Pregnancy

Oral Bacteria – The Source Of Problems (in the mouth & beyond)


Posted on Oct 06, 2015 by William J. Claiborne, DDS MS

Our bodies are full of bacteria. Certain bacteria are good, such as bacteria in the gut. This is why some people take a probiotic supplement to ensure they have a sufficient level so digestion functions efficiently.

While bacteria in our bodies is a fact of life, it is our job to control the levels. By eating a proper diet, keeping our bodies clean and tending to cuts and illnesses, we support our health with bacteria levels under control.

Too much bacteria sends signals to us. For example, if you don’t take a shower for several days, the bacteria buildup on skin creates an odor. An excess of bacteria in the mouth sends signals, also.

Saliva in the mouth is designed to help wash away some of the oral bacteria that occurs from food particles left behind. Our job is to remove this debris on a daily basis before oral bacteria begin a come-one-come-all feast. Brushing and flossing help accomplish this.

Bacteria are living organisms. They eat, reproduce and excrete waste. As they multiply, they form colonies that attack anything that can be consumed. This includes tooth enamel and gum tissues.

Saliva can only do so much. It’s ability to work efficiently can easily be hampered by factors that decrease saliva production. These include smoking, some medications, mouth breathing, drinking alcoholic beverages and some illnesses.

Your mouth will send signals when too much bacteria has accumulated. Your breath will smell bad and your gums may become sore and bleed when brushing. When prompt action is not taken to conquer the overload of bacteria, the destruction continues and becomes more severe.

As oral bacteria eat away at tooth enamel and gum tissues, cavities occur and gum disease penetrates tissues at a deeper level. Pus pockets form at the base of teeth, gums turn a darker color and teeth eventually begin to loosen. Periodontal (gum) disease is the nation’s leading cause of adult tooth loss.

Yet, oral bacteria from gum disease can cause problems far beyond the mouth. They can become bloodborne through tears in diseased gum tissues. Research has found that oral bacteria can trigger inflammatory reactions that put your overall health at risk. Oral bacteria has been linked to heart disease, high blood pressure, stroke, arthritis, diabetes, preterm babies and impotency.

The health problems that originate with oral bacteria can so easily be avoided. Twice daily brushing, flossing daily, drinking plenty of water and seeing a general dentist twice a year can help keep oral bacteria levels under control. These simple measures are so minimal when considering the broad spectrum of problems they can help you avoid.

If your mouth is sending you warning signs – persistent bad breath and sore and bleeding gums – act promptly to avoid much in time and expense while protecting your overall health.

As a dental specialist with advanced training and skills to treat gum disease, a Periodontist is your partner in helping you restore a healthy mouth and maintaining it.

Call 828-274-9440 to schedule an examination. And, the sooner the better. Gum disease will only worsen without treatment.

Difficult Battle With Oral Cancer


Posted on Sep 25, 2015 by William J. Claiborne, DDS MS

This past year, former Padres’ ball player and Hall of Famer Tony Gwynn died from oral cancer. Mr. Gwynne felt this was a result of years of using smokeless tobacco, a habit that is fairly common among Major League baseball players.

Gwynn’s oral cancer was diagnosed in 2010, which began in his salivary glands. Even after a rigorous fight with chemotherapy and radiation, it’s progression was beyond treatment. Oral cancer has some of the worse statistics of all cancers. It takes the life of an American every hour and has one of the worst survival rates.

Apparently, smokeless tobacco had become such a problem that a survey was conducted to determine just how rampant its use had become. The survey found that about one third of Major League rookies were regular users of chewing and snuff. Also revealed was that, when including all players, approximately 30% overall used smokeless tobacco. This was a disturbing find since it showed that once a user the habit had very few giving it up.

Because the MLB felt this growing trend was sending a message to young fans, they have since set rules regarding the use of these products. There is still much work to do, obviously, since a 2012 study showed that nearly 11% of high school males were smokeless tobacco users.

Users typically tuck chewing tobacco or snuff between their cheek and gums and spit out the juices. Snuff is occasionally snorted directly into the nostrils. And, while the hazards of cigarette smoke are better known, the Centers for Disease Control & Prevention warns that smokeless products contain 28 carcinogens and are a known cause of oral cancer.

Too, it is common knowledge that cigarettes are addictive. However, just like cigarettes, nicotine occurs naturally in all tobacco products – smokeless, too. It is also physically and emotionally addictive. Many don’t realize just how addictive these products have become until they try to quit. Common symptoms, similar to those experienced with giving up cigarettes, include weeks of depression, irritability, headaches, weight gain and dizziness.

In addition to giving up the use of all tobacco products, current and former users, especially, should be aware of warning signs. These include a spot or sore in the mouth, tongue or lips that does not heal within 10-14 days. Other signs may be a persistent sore throat, difficulty swallowing, hoarseness or change in the voice. These symptoms should be checked by your dentist or periodontal specialist immediately. When treated early, oral cancer can be survivable.

Also, please share this information with team coaches when you notice signs of smokeless tobacco use. You may be helping to save a growing smile from disfiguration or even death. For more information, call us at 828-274-9440, or schedule a prompt appointment if you’ve noticed any of the above mentioned symptoms.

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